CCH Rotation Info

CCH Rotation Requirements

1. Prepare
2. Orientation - Wednesday
  • 12:30 (following EM Conferences) on your first day, unless otherwise scheduled explicitly. Be prepared to meet with faculty and start scanning! Count on scanning 4 hours today.  
  • You will be completing skills assessments with SDOTs
3. Independent Study - Mixture of SonoSim modules, required reading.
4. SCAN - Thursday, Friday and Monday
  • 24 hours of scan and q-path time required.
  • Residents must be present for assigned times according to CCH Weekly Schedule page. 
  • Any conflicts with the schedule must be discussed in advance with the ultrasound faculty (Dr. Cosby and/or Dr. Rogers) and scan time made up on evenings or weekends within a reasonable timeframe to be agreed upon with us. 
  • Required minimum of 60 submitted scans for 1 week rotation. Ultimately only scans that are submitted, reviewed and found to be technically adequate and accurate (excluding false negatives and false positives) will count towards credentialing. 
    • Focus on applications according to your level of training: 
      • PGY1: eFAST, Renal, Gyne, Ob, Peripheral Venous Access
      • PGY2: Aorta, GB, Ob, DVT 
      • PGY3: Cardiac, Thoracic, Ocular, Ob, ST/MSK
      • PGY4: Advanced Echo, Ob (TV), Procedures
  • Tagging is no longer allowed for submitted scans unless specifically approved by US faculty.  
5. Find your great cases! 
  • All residents must identify two "portfolio" cases to pass the rotation. One must be your best normal images to demonstrate your best skill in image acquisition; the other must be an abnormal (Fast should demonstrate free fluid; renal should demonstrate hydro; gb should demonstrate stones; echo should demonstrate reduced EF). Feel free to bring other great cases to show off! 
    • EM1s - FAST
    • EM2s - Renal or Gallbladder
    • EM3s - Echo 
    • EM4s - Advanced Echo or TV Pelvic
  • All portfolio cases must be identified prior to image review and shared during the Tuesday academic time together. 
    6. Image Review and Presentations - Tuesday
    • Academic Teaching Time begins at 11. Plan to scan a few hours before and after.
    • All residents must be present and prepared for image review. We will review all portfolio images as a group. Make them good!! 
    • EM4s on rotation will be required to give a mini-talk on the topic of the day.
    • All residents will read the assigned reading for journal club discussion and be prepared to participate in our group discussion. 
    • Those finishing the rotation will then have a post-rotation eval and review of all required tests, write ups and  Post-Rotation Scan Numbers form. All of which need to be completed prior to image review.
    7.  Evaluation
    Course Evaluations will be based upon satisfactory completion of the following:
    • Pre- and Post- Rotation Scan Forms.
    • Pre- and Post-Rotation SDOTs
    • Completion of 60 technically adequate scans for each week on rotation, feedback confirmed on Q Path.
    • Presentation of your portfolio of "best normal" and one good "abnormal" scan 
    • Completion of assigned quizzes and Test
    • Mini-lecture for EM4
    • We welcome and encourage your participation throughout the year in other teaching venues and academic projects, including:  the resident workshops, US College events, Rush student labs, and intern orientation.  There are many opportunities for resident leadership. Talk to us to take advantage of these opportunities!  

    8. Help Us Help You! Please provide any feedback, questions or suggestions on anything Ultrasound.



    Rules to live by (while on ultrasound):

    Keep the Chair's "BMW" Looking Good During Your Rotation!

    To ensure that we are not spreading germs, please follow these simple US Machine Cleaning and Stocking guidelines here. 

    Always include clinical correlation on your Q-Path worksheets, and view and note results of any corresponding studies ordered and done in ED (CXR for thoracic scans and Echo, CTs and formal ultrasounds when done).  Studies without this will be considered technically limited and not given credit for credentialing.



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